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General NPI Number Information
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NPI Number | 1407088826
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Entity Type | Individual
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Provider Name | SHADI YAGHI MD
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Gender | Male
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Dates
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Enumeration Date | 08/18/2009
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 1945 STATE ROUTE 33
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City | NEPTUNE
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State | NJ
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Zip | 07753-4859
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Country | US
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Telephone | 732-897-3600
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Fax | 732-897-3660
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Provider Business Mailing Address
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Address Line | 593 EDDY ST
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City | PROVIDENCE
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State | RI
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Zip | 02903-4923
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Country | US
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Telephone | 401-444-6440
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Fax | 401-444-6858
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 25MA12753900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | MD14878
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License Number State | RI
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